Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALLSTAR MEDICAL SUPPLY CORPORATION

NPI: 1356092472 · MOULTONBOROUGH, NH 03254 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/11/2022

$5K
Total Medicaid Paid
86
Total Claims
54
Beneficiaries
3
Codes Billed
2024-04
First Month
2024-04
Last Month

Provider Details

Authorized OfficialBONENFANT, ANDREW (PRESIDENT)
NPI Enumeration Date01/11/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 86 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L1852 Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf 34 18 $3K
L0651 Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf 18 18 $2K
L2397 Addition to lower extremity orthosis, suspension sleeve 34 18 $468.38